1376701334 NPI number — CARRIE COLES GUBLO P.T.

Table of content: CARRIE COLES GUBLO P.T. (NPI 1376701334)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1376701334 NPI number — CARRIE COLES GUBLO P.T.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GUBLO
Provider First Name:
CARRIE
Provider Middle Name:
COLES
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
P.T.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1376701334
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/03/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
42 MORNING GLORY LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ROCHESTER
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
14626-4729
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
585-663-5860
Provider Business Mailing Address Fax Number:
585-368-9274

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1401 STONE RD
Provider Second Line Business Practice Location Address:
STE 201B
Provider Business Practice Location Address City Name:
ROCHESTER
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14615-1537
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
585-663-5860
Provider Business Practice Location Address Fax Number:
585-368-9274
Provider Enumeration Date:
05/27/2008

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  015818-1 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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